DEPARTMENT OF INSURANCE
Affiliations
NameFlack, Robert RoelandDOIID305967NAIC NPN2319193
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/27/1995 5/31/2026
ActiveNon ResidentAgentLife6/27/1995 5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202605/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Assurance Company300586Agent - Health11/11/200412/31/2012
InactiveAmerican General Assurance Company300586Agent - Life11/11/200412/31/2012
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20121/6/2017
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20121/6/2017
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health2/25/20052/27/2007
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life2/25/20052/27/2007
InactiveAssurity Life Insurance Company301099Agent - Health6/27/200311/12/2009
InactiveAssurity Life Insurance Company301099Agent - Life6/27/200311/12/2009
InactiveAthene Annuity & Life Assurance Company301798Agent - Health12/31/199810/18/2006
InactiveAthene Annuity & Life Assurance Company301798Agent - Life12/31/199810/18/2006
ActiveBanner Life Insurance Company301696Agent - Life8/31/2023 
InactiveCompBenefits Dental, Inc.591692Agent - Health2/9/20099/3/2013
InactiveCompBenefits Insurance Company301864Agent - Health2/9/200912/7/2011
InactiveCompBenefits Insurance Company301864Agent - Life2/9/200912/7/2011
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20099/3/2013
ActiveEquitable Financial Life Insurance Company300808Agent - Health3/26/2008 
ActiveEquitable Financial Life Insurance Company300808Agent - Life3/26/2008 
InactiveGenworth Life Insurance Company300623Agent - Health1/30/20121/7/2014
InactiveGenworth Life Insurance Company300623Agent - Life1/30/20121/7/2014
InactiveHumana Health Plan, Inc.300142Agent - Health2/9/20099/3/2013
InactiveHumana Insurance Company301104Agent - Health2/9/20099/3/2013
InactiveHumana Insurance Company301104Agent - Life2/9/20099/3/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/9/20099/3/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/9/20099/3/2013
InactiveHumanaDental Insurance Company301457Agent - Health2/9/20092/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life2/9/20092/23/2012
InactiveKanawha Insurance Company300127Agent - Health2/9/20094/25/2013
InactiveKanawha Insurance Company300127Agent - Life2/9/20094/25/2013
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life9/15/20007/22/2003
InactiveMetropolitan Life Insurance Company301948Agent - Health12/7/200011/17/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life11/13/200011/17/2008
InactivePacifiCare Life and Health Insurance Company301304Agent - Health8/3/201011/4/2011
InactivePrincipal Life Insurance Company300129Agent - Health4/20/200012/9/2008
InactivePrincipal Life Insurance Company300129Agent - Life4/20/200012/9/2008
InactiveProvident Life and Accident Insurance Company301525Agent - Health6/27/199512/30/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Life6/27/199512/30/2009
InactiveReliaStar Life Insurance Company301712Agent - Health1/23/200310/5/2012
InactiveReliaStar Life Insurance Company301712Agent - Life1/23/200310/5/2012
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health10/21/199910/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life10/21/199910/1/2003
InactiveStandard Insurance Company300185Agent - Health9/20/200712/5/2022
InactiveStandard Insurance Company300185Agent - Life9/20/200712/5/2022
InactiveTime Insurance Company300683Agent - Health12/18/200010/17/2011
InactiveTime Insurance Company300683Agent - Life12/18/200010/17/2011
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20084/19/2017
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20084/19/2017
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health2/20/200810/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life2/20/200810/1/2008
InactiveU.S. Financial Life Insurance Company301812Agent - Life10/27/20039/26/2007
InactiveUnion Security Insurance Company301844Agent - Health12/31/19981/9/2015
InactiveUnion Security Insurance Company301844Agent - Life12/31/19981/9/2015
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/3/20104/13/2012
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/3/20104/13/2012
InactiveWest Coast Life Insurance Company301607Agent - Life9/12/200012/22/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDixon Wells Inc735945Agent - Life12/14/20113/31/2024
InactiveDixon Wells Inc735945Agent - Health12/14/20113/31/2024
ActiveEdgewood Partners Insurance Center549891Agent - Life10/25/2022 
ActiveEdgewood Partners Insurance Center549891Agent - Health10/25/2022 
InactiveQuantum Ins Partners Inc524499Agent - Life6/12/20093/31/2013
InactiveQuantum Ins Partners Inc524499Agent - Health6/12/20093/31/2013

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